Transcription
  • I am a.... Care Coordinator. BHS- LPC. CN- LMSW. CN- LPN. Pharmacist.
  • What insurance does the patient have? Anything Else. Blue Cross, Humana, Priority Health (all types- except BCN or Blue Cross Complete).
  • Do not bill.
  • What type of task do you perform? Telephonic Discussion. Care Conferences. Initial Assessment OR Yearly Re-assessment. Advanced Care Planning. Care Coordination. Face-To-Face Visit (not warm-handoff).
  • Bill G9001 with AHPCM Modifier.
  • 5-10 Minutes (98966 AHPCM), 11-20 Minutes (98967 AHPCM), 21 minutes or more (98968 AHPCM).
  • Priority: G9002 (AHPCM), Blue Cross/Humana: 1-45 Minutes (Bill 1 G9002), 46-75 Min (Bill 2 G9002), 76-105 Min (Bill 3 G9002), 106-135 Minutes (Bill 4 G9002).
  • Do not bill, Care Coordinators will bill for your time added with theirs monthly.
  • First 30 Minutes- Bill 99497 (AHPCM), for each additional 30 minutes- bill 99498 (AHPCM).
  • If pre-scheduled and the entire .Conference dotphrase can be filled out in its entirety- bill G9007 (AHPCM).
  • What insurance does the patient have? Priority Health. Anything Else. Blue Cross or Humana (all types- except BCN or Blue Cross Complete).
  • Do not Bill.
  • What type of work did you perform? Face-to-Face Visit. Telephone Call. Anything Else. Case Conference. Care Coordination.
  • 5-10 Minutes (98966 AHPCM), 11-20 Minutes (98967 AHPCM), 21 minutes or more (98968 AHPCM).
  • Blue Cross/Humana: 1-45 Minutes (Bill 1 G9002), 46-75 Min (Bill 2 G9002), 76-105 Min (Bill 3 G9002), 106-135 Minutes (Bill 4 G9002).
  • Do not bill, Care Coordinators will bill for your time added with theirs monthly.
  • If pre-scheduled and the entire .Conference dotphrase can be filled out in its entirety- bill G9007 (AHPCM). Ensure the service and billing provider is changed to the Physician..
  • Do Not Bill.
  • What type of task did you perform? Anything Else. Case Conference.
  • If pre-scheduled and the entire .Conference dotphrase can be filled out in its entirety- bill G9007 (AHPCM). Ensure the service and billing provider is changed to the Physician..
  • Do not bill.
  • What type of insurance does the patient have? Blue Cross/Humana (all except BCN or Blue Cross Complete). Priority Health. Anything Else.
  • Do not Bill.
  • What type of task did you perform? Care Coordination tasks and phone call. Follow-up Telephone Call.
  • Under 31 Minutes- Do not bill. 31-75 Minutes- Bill 99487 (AHPCM). Each additional 30 minutes- bill 99489 (AHPCM).
  • Over 5 Minutes (98966 AHPCM).
  • What type of task did you perform? Follow-up phone call. Care Coordination tasks and phone calls.
  • 20-59 minutes- Bill 99490(AHPCM)...(do not count any time spent with patient on same day of E/M visit) . 60 Minutes- Bill 99487. Each additional 30 minutes (over 90 minutes total), bill 99489 (AHPCM)..
  • Do not bill.
  • What type of insurance does the patient have? Anything Else. Blue Cross/Humana (all except BCN or Blue Cross Complete).
  • Bill 99493 (AHPBH) for first 60 minutes in the calendar month. For each additional 30 minutes- bill 99494 (AHPBH).
  • What type of task did you perform? Face-to-Face Visit. Telephone Call. Care Coordination. Case Conference. Crisis Intervention- Face-to-Face.
  • 5-10 Minutes (98966 AHPBH), 11-20 Minutes (98967 AHPBH), 21 minutes or more (98968 AHPBH).
  • Blue Cross/Humana: 1-45 Minutes (Bill 1 G9002), 46-75 Min (Bill 2 G9002), 76-105 Min (Bill 3 G9002), 106-135 Minutes (Bill 4 G9002).
  • Blue Cross/Humana: 1-45 Minutes (Bill 1 G9002), 46-75 Min (Bill 2 G9002), 76-105 Min (Bill 3 G9002), 106-135 Minutes (Bill 4 G9002).
  • CONFIRM WITH OTHER CARE TEAM MEMBERS TO DETERMINE WHO WILL DROP THE CODE- Limit of 1 per day. If pre-scheduled and the entire .Conference dotphrase can be filled out in its entirety- bill G9007 (AHPCM). Ensure the service and billing provider is changed to the Physician..
  • Do not bill, Care Coordinators will add up your time monthly and bill for all care team members time. Ensure your encounter has Care Coordination chief complaint..
  • Why type of insurance does the patient have? Anything Else. Blue Cross, Humana, or Priority Health (All except BCN and Blue Cross Complete).
  • Do not Bill.
  • What type of work did you perform? Case Conference. Face-To- Face Visit. Telephone Call. Care Coordination. Advanced Care Planning.
  • 5-10 Minutes (98966 AHPDC), 11-20 Minutes (98967 AHPDC), 21 minutes or more (98968 AHPDC).
  • Blue Cross/Humana: 1-45 Minutes (Bill 1 G9002), 46-75 Min (Bill 2 G9002), 76-105 Min (Bill 3 G9002), 106-135 Minutes (Bill 4 G9002). AHPDC Modifer..
  • CONFIRM WITH OTHER CARE TEAM MEMBERS TO DETERMINE WHO WILL DROP THE CODE- Limit of 1 per day. If pre-scheduled and the entire .Conference dotphrase can be filled out in its entirety- bill G9007 (AHPDC). If Priority Health, ensure the service and billing provider is changed to the Physician..
  • First 30 Minutes- Bill 99497 (AHPDC), for each additional 30 minutes- bill 99498 (AHPDC).
  • Do not bill, Care Coordinators will add up your time monthly and bill for all care team members time. Ensure your encounter has Care Coordination chief complaint..

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